December 1, 1991Pacing and Clinical Electrophysiology

The Etiology of Syncope in Pacemaker Patients

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Why the study?

What is the etiology of syncope in patients with VVI pacemakers?

Population

46 patients with syncopal episodes after VVI pacemaker implantation.

Design

Case_series

Authors

SPS. PavlovićUniversity of Belgrade DKDusan Z. KocovicMain Line Health MDM DjordjevićInstitute of Public Health of Vojvodina

Discussion

Member takes

Implication

May support tilt-table testing to identify vasovagal syncope in VVI pacemaker patients; hypothesis-generating and should not yet change practice.

Structured PICO

What is the etiology of syncope in patients with VVI pacemakers?

Population

46 patients with syncopal episodes after VVI pacemaker implantation (92% had 1-3 episodes, 8% had >3 episodes).

Intervention

Extensive diagnostic workup including 24-hour Holter monitoring, EEG, orthostatic blood pressure measurement, carotid Doppler, fasting blood glucose, and head-up tilt table test (60 minutes, 60 degrees).

Outcome

Etiology of syncopal episodes

In patients with VVI pacemakers experiencing syncope, pacemaker dysfunction is a rare cause, with vasovagal syncope being the most common etiology.

Cite This Study

Pavlović et al. (1991) studied this question.

synapsesocial.com/papers/6a70c58526770c2b8de0bbaf https://doi.org/10.1111/j.1540-8159.1991.tb06478.x

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Implication

May support tilt-table testing to identify vasovagal syncope in VVI pacemaker patients; hypothesis-generating and should not yet change practice.

The Etiology of Syncope in Pacemaker Patients

Discussion

Member takes

Implication

Structured PICO

Cite This Study

The Etiology of Syncope in Pacemaker Patients

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider